International Journal of Internal Medicine

Objective To explore the clinical value of early awake body position therapy in the respiratory treatment of patients with severe new coronary pneumonia. Methods Twenty patients with severe and critical new coronary pneumonia who were centrally treated in Yiyang Fourth Peoples Hospital and Macheng Peoples Hospital from the end of January 2020 to the beginning of March 2020 were selected. Ventilation in lateral position, the control group was given routine treatment, and related indicators were compared. Results The oxygenation index of the observation group was significantly higher than that of the control group at 48h and 72h after postural treatment. The lung ultrasound deflator score after 3 days and the improvement of lung CT after 5 days were better than those of the control group. The 28-day mortality rate and the 28-day mortality rate were significantly lower than those of the control group, and the mechanical ventilation time was also significantly shortened, P<0.05. Conclusion Early awake body position therapy can improve alveolar ventilation in the gravity-dependent area of patients with severe new coronary pneumonia, thereby improving oxygenation and pulmonary lesions, and delaying the further progression of the disease, which has important therapeutic value.

Severe new coronary pneumonia; Postural therapy; Lung ultrasound deflation score